| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,951 |
4,905 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,959 |
4,007 |
$136K |
| 80053 |
Comprehensive metabolic panel |
1,842 |
1,564 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,591 |
1,329 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
263 |
$4K |
| 80061 |
Lipid panel |
457 |
372 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
483 |
407 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
237 |
178 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
301 |
207 |
$1K |
| 87430 |
|
81 |
79 |
$1K |
| 90686 |
|
224 |
206 |
$821.29 |
| 0011A |
|
52 |
47 |
$582.80 |
| 99307 |
|
35 |
26 |
$348.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
24 |
$315.12 |
| 0012A |
|
21 |
17 |
$259.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
24 |
$234.08 |
| 90688 |
|
18 |
14 |
$231.92 |
| 81000 |
|
97 |
77 |
$192.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
32 |
$160.68 |
| 92551 |
|
13 |
12 |
$97.56 |
| 0002A |
|
29 |
25 |
$53.36 |
| G0008 |
Administration of influenza virus vaccine |
227 |
191 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 90662 |
|
59 |
49 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |